STUDENT REFERENCE FORM

STUDENT REFERENCE FORM
Greetings! Thank you for completing a reference form for our student! Before completing their program, we require students to provide references from individuals who can vouch for their character, spiritual walk, and their abilities.
Student's Name*
This student is enrolled in the Christian Counseling Degree program at CrossPointe Bible College.

Please be honest with your responses. When submitted, your responses will only be seen by our Student Support Services team, and the student's Student Adviser. The student will not be provided with your responses.
To the best of your knowledge, does this student live a life that is pleasing to the Lord?*

YesNo
To the best of your knowledge, does this student have a good reputation within his or her church community?*

YesNo
To the best of your knowledge, does this student demonstrate qualities that are normally associated with a Christian Counselor? (i.e. Christian maturity, leadership skills, integrity, stability, etc.)*

YesNo
Would you recommend this student for the counseling ministry?*

YesNo
How many years have you known this individual?*
What is your relationship to this individual?*
Date*

MonthDayYear
Date
Your Name*
Your Phone Number*
Signature*

Clear
Should be Empty: